Activation leads to: Increased satiety signalling in the hypothalamus Slowed gastric emptying Reduced appetite drive Improved insulin signalling This mechanism primarily affects energy intake rather than directly increasing energy expenditure

You should contact your GP or seek specialist referral if you are experiencing: Unexplained weight gain or difficulty losing weight despite lifestyle changes Symptoms that may suggest growth hormone deficiency , such as persistent fatigue, reduced muscle mass, increased abdominal fat, or low mood formal biochemical testing is required before any treatment is initiated Poorly controlled blood glucose or a new diagnosis of type 2 diabetes Interest in weight-management medicines , to discuss licensed options available through NHS or regulated private pathways access to weight-management pharmacotherapy on the NHS is typically via specialist weight management services, subject to local eligibility criteria Seek urgent medical attention via NHS 111 or, if necessary, 999 if you experience severe or persistent abdominal pain (which may indicate pancreatitis), signs of a serious allergic reaction, chest pain or palpitations, or symptoms of diabetic ketoacidosis (extreme thirst, frequent urination, confusion, or vomiting)

Ear candling: Promoted as a way to remove excess earwax and treat sinus infections, sore throats, colds, and the flu, this involves placing a hollow candle into your ear canal and then lighting it
63 , 64 , 65 Further mechanistic studies are needed to reach definitive conclusions on the biological plausibility of the association of GLP1 receptor stimulation with thyroid cancer
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